Individual provider Active NPI

Ted Zebaze, PMHNP-BC , APRN, MSN

  • Psychiatric/Mental Health Nurse Practitioner
  • Fort Worth, TX
National Provider Identifier
1548740889
Registry record updated Mar 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
1143276 Issued in TX
Practice address
600 W 6TH St
Fort Worth, TX 76102-3684
Phone
(817) 406-2699
Fax
(817) 406-2699
NPI assigned
Aug 16, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 1143276 TX Primary

Addresses

Primary practice location

600 W 6TH St
Fort Worth, TX 76102-3684

Mailing address

7200 Fossil Creek Dr
Arlington, TX 76002-4759
Phone (682) 203-3318

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, CO, AZ, MT, NM, WA6 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 6

Enrollment IDStateProvider typePAC IDDetails
I20240529000037 TX Practitioner - Nurse Practitioner 4284076878 Reassigns benefits to 3 organizations
I20250404000847 CO Practitioner - Nurse Practitioner 4284076878 Reassigns benefits to 1 organization
I20250428003644 AZ Practitioner - Nurse Practitioner 4284076878 Reassigns benefits to 1 organization
I20250904003333 MT Practitioner - Nurse Practitioner 4284076878 Reassigns benefits to 1 organization
I20251031004067 NM Practitioner - Nurse Practitioner 4284076878 Reassigns benefits to 1 organization
I20260422001242 WA Practitioner - Nurse Practitioner 4284076878 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

66 E Flagler St
Miami, FL 33130-1807

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Hanifa Healthcare PC CurrentSince May 16, 2024 Accepting new patients
Psychiatry Associates of Texas, P.a. CurrentSince May 16, 2024 Accepting new patients
Grow Healthcare Group PA Psychiatric/Mental Health CurrentSince Mar 4, 2025 Accepting new patients
Mind Solution Psychiatry Psychiatric/Mental Health Current Accepting new patients

Locations

4600 E Washington St
Ste 300
Phoenix, AZ 85034
Phone (602) 638-1872

5445 Dtc Pkwy
Ph 4
Greenwood Village, CO 80111
Phone (720) 571-4874

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

5 W Mendenhall St
Ste 202
Bozeman, MT 59715
Phone (406) 219-7233

500 Marquette Ave NW
Ste 1200
Albuquerque, NM 87102
Phone (505) 295-6685

1215 W Randol Mill Rd
Arlington, TX 76012
Phone (682) 478-5333

2000 Old Hickory Trl
Ste 400
Desoto, TX 75115
Phone (972) 283-6242

4232 Heritage Trace Pkwy
Fort Worth, TX 76244
Phone (817) 200-6680

1111 S Friendswood Dr
Ste 107
Friendswood, TX 77546
Phone (281) 482-3376

6913 Camp Bowie Blvd
Ste 171
Ft Worth, TX 76116
Phone (682) 558-4769

700 Milam St
Ste 1300
Houston, TX 77002
Phone (281) 801-8391

10223 Broadway St
Ste D1
Pearland, TX 77584
Phone (713) 436-2522

5501 Independence Pkwy
Ste 302
Plano, TX 75023
Phone (469) 747-1010

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1534377600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743120000000",
    "number": "1548740889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7200 FOSSIL CREEK DR",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760024759",
            "telephone_number": "682-203-3318"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 W 6TH ST",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761023684",
            "telephone_number": "817-406-2699",
            "fax_number": "817-406-2699"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZEBAZE",
        "first_name": "TED",
        "credential": "PMHNP-BC , APRN, MSN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-08-16",
        "last_updated": "2025-03-28",
        "certification_date": "2025-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TX",
            "license": "1143276",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

Verify at the official NPI Registry.